Carpal Tunnel Release – With Ultrasound Guidance

If you suffer from pain, numbness, and tingling in the hand and arm, you may be one of an estimated 13 million Americans1 who suffer from Carpal Tunnel Syndrome (CTS). One of the main reasons patients delay surgery for CTS is the long recovery time that lasts for weeks or months.

Recovery in Days, Not months. Carpal Tunnel Release with Ultrasound Guidance

We offer the option for the Carpal Tunnel Release with ultrasound guidance for a faster recovery time. Most patients can return to work and the activities they love within 3-6 days.

Learn more about the procedure below!


If you are interested in having the procedure, please give us a call at 308-995-4431

Frequently Asked Questions:

Carpal Tunnel Syndrome (CTS) is a common condition that affects an estimated 13 million Americans1 that causes pain, numbness, and tingling in the hand and arm. The condition occurs when one of the major nerves in the hand—the median nerve—is compressed as it travels through the wrist. The median nerve controls movement in the thumb and feeling in the thumb and first three fingers. It runs down the arm and forearm, passes through the carpal tunnel at the wrist, and goes into the hand. Left untreated, it can cause long-term debilitation.

  • Carpal tunnel syndrome affects an estimated 13 million Americans4
  • More than 2.7 million are clinically indicated for surgery5
  • Approximately 580,000 CTR procedures are performed every year6

The symptoms of CTS are pain, numbness, and tingling in the hand and arm.

Any activity that squeezes or irritates the median nerve in the carpal tunnel space can lead to Carpal Tunnel Syndrome. Wrist fractures, swelling and inflammation from rheumatoid arthritis, and repetitive actions like typing on a keyboard. Many times, there is no single cause and is a combination that leads to CTS.

You should see your doctor if you have signs and symptoms of CTS that interfere with your sleep, work, and normal activities. We want to avoid permanent nerve and muscle damage that can occur if continued without treatment.

More severe cases of CTS may be treated surgically through carpal tunnel release (CTR), which involves cutting the transverse carpal ligament to relieve pressure on the median nerve. Traditional CTR techniques can remedy the condition but may result in large and sometimes painful scars, ongoing palmar pain, and a long road to recovery.2,3,4

CTR with Ultrasound Guidance is an alternative surgical option to the traditional method. This method utilizes the SX-One Microknife® and an ultrasound to guide the device through small incisions to relieve pressure on the median nerve.

This procedure minimizes recovery time, and most patients can return to work and normal activities in 3-6 days. 2,6,7

There are several benefits 2,6,7 for the CTR with ultrasound guidance vs. traditional surgical techniques.

  • Most patients can return to work and the activities they love within 3-6 days
  • Performed in a procedure room or office setting
  • Typically performed using local anesthesia
  • Small incision typically closed without sutures
  • Aspirin or Ibuprofen typically used for pain management
  • Postoperative therapy typically not required
  • Immediate motion of the hand for rapid recovery

Dr. Jacob Peterson performs the CTR with ultrasound guidance procedure. You can schedule an appointment with him by calling us at 308.995.4431

CTR is covered by Medicare and most private insurances. Confirmation for coverage with your insurance provider should always confirm coverage with the applicable provider prior to treatment.

Your provider will discuss the benefits and risks and whether carpal tunnel release with the SX-One Microknife® is right for you.

For more information about the risks, visit: SonexHealth.com

  1. Rojo-Manaute JM, Capa-Grasa A, Chana-Rodríguez F, et al. Ultra‐Minimally Invasive Ultrasound‐Guided Carpal Tunnel Release: A Randomized Clinical Trial. J Ultrasound Med. 2016;35(6):1149-1157.
  2. Henning PT, Yang L, Awan T, et al. Minimally invasive ultrasound-guided carpal tunnel release: preliminary clinical results. J Ultrasound Med. 2018;37(11):2699-2706
  3. Sonex Health CTR patient registry. Data on File.
  4. Papanicolaou GD, et al. The prevalence and characteristics of nerve compression syndromes in the general population. J Hand Surg 2001;26A:460-6.
  5. Atroshi I, et al. Severe carpal tunnel syndrome potentially needing surgical treatment in a general population. J Hand Surg 2003;28A:649-44.
  6. Fajardo M, et al. Incidence of carpal tunnel release: trends and implications with the United States ambulatory care setting. J Hand Surg 2012;37A:1599-1605
  7. Gong HS, Baek GH, Oh JH, Lee YH, Jeon SH, Chung MS. Factors affecting willingness to undergo carpal tunnel release. JBJS. 2009;91(9):2130-2136.
  8. Sonex Health Market Research on file. Patient survey, “Why not Undergo CTR?”


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